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Essays on physician assisted suicide
Euthanasia and assisted suicide research paper
Essays on death with dignity
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One of the greatest dangers facing chronic and terminally ill patients is the grey area regarding PAS. In the Netherlands, there are strict criteria for the practice of PAS. Despite such stringencies, the Council on Ethical and Judicial Affairs (1992) found 28% of the PAS cases in the Netherlands did not meet the criteria. The evidence suggests some of the patient’s lives may have ended prematurely or involuntarily. This problem can be addressed via advance directives. These directives would be written by competent individuals explaining their decision to be aided in dying when they are no longer capable of making medical decisions. These interpretations are largely defined by ones morals, understanding of ethics, individual attitudes, religious and cultural values.
The practice of using continuous sedation (CS) to reduce or take away the consciousness of a patient until their death follows is a similar grey area in healthcare. This was addressed in Washington v. Glucksberg when Justice O’Connor’s statements proclaimed that CS was legal and ethically acceptable. The case also suggested the availability of CS renders the legalization of PAS as unnecessary (Raus, Sterckx & Mortier, 2011). This argument leaves a great deal of life ending treatments up to individual interpretation. PAS is illegal in some states in the United States but passive euthanasia or the right to refuse medical treatment, including life-sustaining medical treatment, is well-established in the US by common law and landmark court decisions.
Even when regulations are present, they are not always followed. The Oregon Department of Human Services’ Death with Dignity Act (2007) requires a patient be referred to a psychiatrist or psychologist for treatment ...
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...in Waiting to Die: Everyday Understandings of
Suffering. Palliative & Supportive Care, 10(1), 27-36.
Steck, N., Egger, M., Maessen, M., Reisch, T., & Zwahlen, M. (2013). Euthanasia and Assisted Suicide in Selected European Countries and US States: Systematic Literature Review. Medical Care, 51(10), 938-944. doi:10.1097/MLR.0b013e3182a0f427
Varelius, J. (2013). Voluntary Euthanasia, Physician-Assisted Suicide, and the Right to Do Wrong. HEC Forum, 25(3), 229-243. doi:10.1007/s10730-013-9208-2
Wagner, B., Keller, V., Knaevelsrud, C., & Maercker, A. (2012). Social Acknowledgement as a
Predictor of Post-Traumatic Stress and Complicated Grief After Witnessing Assisted
Suicide. International Journal of Social Psychiatry, 58(4), 381-385.
Wrable J. (1989). Euthanasia would be a humane way to end suffering. Am Med News.
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Diane: A Case of Physician Assisted Suicide. Diane was a patient of Dr. Timothy Quill, who was diagnosed with acute myelomonocytic leukemia. Diane overcame alcoholism and had vaginal cancer in her youth. She had been under his care for a period of 8 years, during which an intimate doctor-patient bond had been established.
Terminally ill patients deserve the right to have a dignified death. These patients should not be forced to suffer and be in agony their lasting days. The terminally ill should have this choice, because it is the only way to end their excruciating pain. These patients don’t have
“On October 27, 1997 Oregon enacted the Death with Dignity Act which allows terminally-ill Oregonians to end their lives through the voluntary self-administration of lethal medications, expressly prescribed by a physician for that purpose.” (The Oregon Health Authority, 2010). Physician assisted suicide can be constructed to have reasonable laws which still protect against its abuse and the value of human life. Recent Oregon and U.K. laws show that you can craft reasonable laws that prevent abuse and still protect the value of human life. When one thinks of suicide, we think of a person who takes their own life.
In 1994, Oregon passed the Death with Dignity Act. This law states that Oregon residents, who have been diagnosed with a life ending disease and have less than six months to live, may obtain a lethal medicine prescribed by a physician, which would end their life when and where they chose to do so. This law or act requires the collection of data from patients and physicians and publishes it in an annual r...
There are many legal and ethical issues when discussing the topic of physician-assisted suicide (PAS). The legal issues are those regarding numerous court cases over the past few decades, the debate over how the 14th Amendment of the United States Constitution comes into play, and the legalization vs. illegalization of this practice. The 14th Amendment states, “nor shall any State deprive any person of life, liberty, or property, without due process of law; nor deny to any person within its jurisdiction the equal protection of the laws” (U.S. Const. amend. XIV, §1). PAS in the past has been upheld as illegal due to the Equal Protection Clause of the 14th amendment of the constitution, but in recent years this same 14th amendment is also part of the reasoning for legalizing PAS, “nor shall any State deprive any person of…liberty” (U.S. Const. amend. XIV, §1). The ethical issues surrounding this topic include a patient’s autonomy and dignity and if PAS should be legalized everywhere. This paper is an analysis of the PAS debate and explores these different issues using a specific case that went to the supreme courts called Washington et al. v. Glucksberg et al.
However, the framework in practice is very complex, and has various inconsistencies, such as the legality of refusing treatment, the sovereignty of a living will and the issue of prosecuting those who assist someone to end their lives. There is evidence that shows doctors using palliative sedation as a means to facilitate death in patients that are in extreme pain and the use of limiting or even stopping treatment at the patient’s request is not uncommon. The difficulties of putting the law into practice make it extremely difficult for courts, legislators and doctors to reach clear decisions on individual cases. Therefore, the inconsistencies in the legal framework need to be addressed, as with these present the argument against legalising the right to die is weakened. Legalising assisted dying would simplify the framework and ensure that set barriers and safeguards could be created in order to protect the patient and his/her
Office of Disease Prevention and Epidemiology. (n.d.). Frequently Asked Questions: Death with Dignity Act. Oregon Health Authority. Retrieved October 7, 2011, from http://public.health.oregon.gov/PROVIDERPARTNERRESOURCES/
gotten to the point where they feel as if there is no point in living.
Imagine, if you will, that you have just found out you have a terminal medical condition. Doesn’t matter which one, it’s terminal. Over the 6 months you have to live you experience unmeasurable amounts of pain, and when your free of your pain the medication you’re under renders you in an impaired sense of consciousness. Towards the 4th month, you begin to believe all this suffering is pointless, you are to die anyways, why not with a little dignity. You begin to consider Physician-Assisted Suicide (PAS). In this essay I will explain the ethical decisions and dilemmas one may face when deciding to accept the idea of Physician-Assisted Suicide. I will also provide factual information pertaining to the subject of PAS and testimony from some that advocate for legalization of PAS. PAS is not to be taken lightly. It is the decision to end one’s life with the aid of a medical physician. Merriam-Webster’s Dictionary states that PAS is “Suicide by a patient facilitated by means (as a drug prescription) or by information (as an indication of a lethal dosage) provided by a physician aware of the patient’s intent.” PAS is considered, by our textbook – Doing Ethics by Lewis Vaughn, an active voluntary form of euthanasia. There are other forms of euthanasia such as non-voluntary, involuntary, and passive. This essay is focusing on PAS, an active voluntary form of euthanasia. PAS is commonly known as “Dying/Death with Dignity.” The most recent publicized case of PAS is the case of Brittany Maynard. She was diagnosed with terminal brain cancer in California, where she lived. At the time California didn’t have Legislative right to allow Brittany the right to commit PAS so she was transported to Oregon where PAS is legal....
the decision to end their lives often turn to their physicians for advice. However, studies indicate that many physicians are unwilling to provide their assistance in suicide because it conflicts with their ethical beliefs and because it is illegal. The legalization of PAS is a sensitive, yet complicated, topic which is becoming more and more popular with America’s aging population and the terminally ill patients. PAS is a social issue which is here to stay. The legalization of PAS is continually being debated all over the United States and offers a potential for abuse. In 1994, PAS laws of Washington and New York were challenged in federal court and declared unconstitutional. Physician assisted suicide should not be legalized in any state.
"With the stroke of a pen, California Gov. Jerry Brown made it legal for physicians in the state to prescribe lethal doses of medications if their terminally ill patients wish to end their lives. Brown signed the "End of Life Act" into law on Monday, and in doing so California joins four other states — Oregon, Washington, Vermont and Montana — where patients' right to choose doctor-assisted death is protected either by law or court order."
Oftentimes when one hears the term Physician Assisted Suicide (hereafter PAS) the words cruel and unethical come to mind. On October 27, 1997 Oregon passed the Death with Dignity Act, this act would allow terminally ill Oregon residents to end their lives through a voluntary self-administered dose of lethal medications that are prescribed by a physician (Death with Dignity Act) . This has become a vital, medical and social movement. Having a choice should mean that a terminally ill patient is entitled to the choice to pursue PAS. If people have the right to refuse lifesaving treatments, such as chemo and palliative care, then the choice of ending life with PAS should be a choice that is allowed.
"Legalized Physician-Assisted Suicide in Oregon ñ The Second Year." Amy D. Sullivan, Katrina Hedberg, David W. Fleming. The New England Journal of Medicine. February 24, 2000. v.342, n.8
The right to assisted suicide is a significant topic that concerns people all over the United States. The debates go back and forth about whether a dying patient has the right to die with the assistance of a physician. Some are against it because of religious and moral reasons. Others are for it because of their compassion and respect for the dying. Physicians are also divided on the issue. They differ where they place the line that separates relief from dying--and killing. For many the main concern with assisted suicide lies with the competence of the terminally ill. Many terminally ill patients who are in the final stages of their lives have requested doctors to aid them in exercising active euthanasia. It is sad to realize that these people are in great agony and that to them the only hope of bringing that agony to a halt is through assisted suicide.When people see the word euthanasia, they see the meaning of the word in two different lights. Euthanasia for some carries a negative connotation; it is the same as murder. For others, however, euthanasia is the act of putting someone to death painlessly, or allowing a person suffering from an incurable and painful disease or condition to die by withholding extreme medical measures. But after studying both sides of the issue, a compassionate individual must conclude that competent terminal patients should be given the right to assisted suicide in order to end their suffering, reduce the damaging financial effects of hospital care on their families, and preserve the individual right of people to determine their own fate.
Euthanasia is a serious political, moral and ethics issues in society. People either strictly forbid or firmly favor euthanasia. Terminally ill patients have a fatal disease from which they will never recover, many will never sleep in their own bed again. Many beg health professionals to “pull the plug” or smother them with a pillow so that they do not have to bear the pain of their disease so that they will die faster. Thomas D. Sullivan and James Rachels have very different views on the permissibility of active and passive euthanasia. Sullivan believes that it is impermissible for the doctor, or anyone else to terminate the life of a patient but, that it is permissible in some cases to cease the employment of “extraordinary means” of preserving